NC Medicaid Spending Flat, Predictable

Budget overruns not due to rising spending

This brief analyzes state spending on North Carolina’s Medicaid budget since fiscal year 2010. We reviewed information from a variety of sources to compile a more comprehensive view of how state funds were allocated and accounted for in Medicaid budgets over the past several years. All figures are drawn from public documents and work completed by state agencies such as the Office of Budget and Management (OBM), Division of Medical Assistance (DMA) and the Fiscal Research Division (FRD).

The Medicaid budget picture in recent years is complicated because of changes in federal funding related to the economic downturn, the movement of state money required to address Medicaid shortfalls, and the way these transfers were reflected in the state’s financial records.

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